Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention.
Arch Phys Med Rehabil
; 89(8): 1429-41, 2008 Aug.
Article
em En
| MEDLINE
| ID: mdl-18674978
ABSTRACT
OBJECTIVE:
To test the hypothesis that enhanced education and structured follow-up after pressure ulcer surgery will result in fewer recurrences.DESIGN:
Randomized controlled trial.SETTING:
Veterans Affairs medical center.PARTICIPANTS:
Forty-nine veteran men with spinal cord injury or dysfunction were approached on admission for pressure ulcer surgery. Five never had surgery, 2 refused to participate, and one withdrew. Forty-one were randomized into 3 groups. Three participants' ulcers did not heal, so follow-up could not begin.INTERVENTIONS:
Group 1 received individualized pressure ulcer education and monthly structured telephone follow-up (n=20); group 2 received monthly mail or telephone follow-up without educational content (n=11); and group 3 received quarterly mail or telephone follow-up without educational content (n=10). Follow-up continued until recurrence, death, or 24 months. MAIN OUTCOMEMEASURE:
Time to pressure ulcer recurrence.RESULTS:
Group 1 had a longer average time to ulcer recurrence or end of study than groups 2 and 3 (19.6 mo, 10.1 mo, 10.3 mo; P=.002) and had a smaller rate of recurrence (33%, 60%, 90%; P=.007). Survival analysis confirmed these findings (P=.009).CONCLUSIONS:
Individualized education and structured monthly contacts may be effective in reducing the frequency of or delaying pressure ulcer recurrence after surgical repair of an ulcer.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Veteranos
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Conhecimentos, Atitudes e Prática em Saúde
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Educação de Pacientes como Assunto
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Úlcera por Pressão
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article